Failure to Serve Meals Timely and According to Resident Preferences
Penalty
Summary
The facility failed to ensure that meals were served in a timely manner according to residents' needs, preferences, and the facility's own policy. Observations showed that lunch trays were delivered significantly later than the scheduled time, with one resident in the dining room receiving lunch at 1:10 PM despite the policy stating lunch should be served at 11:30 AM. Staff confirmed that trays should have been delivered by 12:20 PM. Resident interviews revealed that meals were often served late, with breakfast at 9:00 AM, lunch at 1:45 PM, and dinner at 7:20 PM for one resident, and another resident reported that food was cold at all meals. Additional observations of meal service showed varying delivery times across different halls, with the last tray served at 12:45 PM. Food temperatures of the last tray were recorded as Cod 145°F, Potatoes 140°F, and Cream Spinach 160°F. These findings indicate that the facility did not consistently provide meals at scheduled times or in accordance with residents' preferences, resulting in delayed and sometimes cold meals.